Chapter 21 The Lymphatic System - Welcome to …web.gccaz.edu/~phipd16661/Chap21_Lymphatic.pdf · Palatine Tonsils and Lingual Tonsil(s) Palatine Tonsils The deep aspect of each palatine

Lymphatic

System

Chapter 21

• Immunity

– interstitial fluids from all capillary beds are filtered through lymph nodes before returning to circulatory system

– lymphatic tissues contain immune cells that can respond to dangerous foreign cells or chemicals

• Fluid Recovery

– absorbs interstitial fluid (2 to 4 L/day) and returns it to the bloodstream

• interference with lymphatic drainage can lead to edema

• Lipid Absorption

– Lacteals in small intestine absorb dietary lipids

Functions of Lymphatic System

Lymphatic

Circulation

right side of head,

right arm and right

upper thorax is

drained by right

lymphatic duct into

the right subclavian

vein

thoracic duct

drains the rest of

the body into the

left subclavian vein

nodes are

clustered regionally

Lymphatic

Drainage is

Asymmetrical

Lymph and Lymphatic Capillaries

• Lymph

– clear, colorless fluid, similar to plasma but is more dilute and contains few cells (lymphocytes and macrophages)

• Lymphatic Capillaries

– closed at one end

– endothelial cells loosely overlapped • allow bacteria and cells to enter lymphatic capillaries

• overlapping endothelial cells allow inflow of interstitial fluid when pressure is high, and then close when it is low

• valves keep flow going in one direction

• found with vascular capillaries

Neurovascular Bundle

contains: nerve, artery, vein, lymphatic

Lymphatic

Capillary

Lymph Flow

• Lymph flows at low pressure and low speed

• Mechanisms of lymph flow:

– weak, rhythmic contractions of lymphatic vessels

– skeletal muscle contractions: exercise and

movement significantly increases lymphatic return

– thoracic pumping (pressure changes in thorax due

to respiratory movements) aids flow

– valves prevent backward flow

– rapidly flowing bloodstream in subclavian veins,

draws lymph into the venous blood returning to

heart

Elephantiasis is a

tropical disease

caused by lymphatic

obstruction.

Mosquito-borne

nematode worms

infect and block

lymphatic vessels

leading to chronic

edema.

Edema causes

fibrosis and a

thickening of the

skin.

Typically occurs in

extremities.

Tissues of the Lymphatic System

1. Lymphatic Organs

– Lymph Nodes, Tonsils, Thymus, Spleen

2. Lymphatic Nodules

– Peyer’s Patches are clusters of lymphatic

nodules under the epithelium of the small

intestine and the large intestine

3. Diffuse Lymphatic Tissue

– Lymphocytes in mucous membranes and CT of

many organs especially in passages open to the

exterior like the eyes, ears, nose and throat.

Lymphatic Organ Locations

• Lymph Nodes

– clusters of interconnected lymph nodes are named

regionally

– cervical, axillary and inguinal nodes are close to surface

– thoracic, abdominal and pelvic nodes are deeper

• Tonsils

– lymphatic tissue that surrounds the entrance to pharynx

• Thymus

– in mediastinum over heart

• Spleen

– inferior to diaphragm on the left side

Lymph Nodes

• Lymph Nodes are the only organs that filter

lymph

– receive and filter all lymph before it returns to the

venous circulation

• Cells of lymph nodes include:

– macrophages that consume dangerous antigens

and then present them to lymphocytes

– lymphocytes respond to specific antigens with

specific antibodies

Lymph Node

Lymph

Node

• Lymphadenitis is indicated by painful nodes called

bubos that are greatly enlarged due to rapid

proliferation of lymphocytes that are responding to

antigens.

• Lymph nodes are common sites for metastatic cancer

cells to collect and slowly proliferate causing swollen,

firm but usually painless enlarged nodes.

Lymphatic Drainage of

Mammary and Axillary Regions

Tonsils

• Palatine Tonsils

– tonsils located in the lateral walls of the pharynx

– most often infected of the tonsils

• Lingual Tonsil

– tonsil in the root of tongue

• Pharyngeal Tonsil (adenoid)

– tonsil in superior surface of the nasopharynx

Palatine Tonsils

and

Lingual Tonsil(s)

Palatine Tonsils

The deep aspect of each palatine tonsil is isolated from the surrounding connective tissue by a dense fibrous capsule.

The surface of a tonsil is covered by a thin, wrinkled epithelium that lines deep crypts in the tonsil. The crypts may contain food debris, bacteria and other antigenic substances.

White blood cells can emerge from the crypts to attack antigens.

Thymus Newborn Infant Adult

• The thymus secretes the hormones thymopoietin and

thymosin that promote development of T lymphocytes.

• It is a large, vascular organ for the first decade of life then

involutes after about age 14 into fatty, fibrous tissue in adults.

Spleen

• Spleen is composed of two tissues:

– red pulp: spongy sinuses filled with blood

– white pulp: clusters of lymphocytes

• Functions

– blood production in fetus

– blood reservoir

– removal of old, damaged RBCs by macrophages

– filters a large volume of blood to quickly detect antigens

• Capsule is composed of very thin connective tissue that can rupture from mechanical injury (broken rib). Difficult to repair with sutures so sometimes entire organ is removed to control bleeding.

Spleen

red pulp white pulp

capsule

Spleen injury due to motor vehicle collision

Defect closed using part of the greater omentum.

END